Challenges on NCDs in the AP Region (countries and the world!)

1. Challenges on NCDs in the AP Region (countries and the world!) Dr. SuwitWibulpolprasert International Health Policy Program Foundation (IHPF) and Health Intervention and Technology Assessment Foundation (HITAF)

2. Nature of NCDs • Complexity of the problems • Various powerful players and their linkages • Building, maintaining, and linking all powers for public interests

3. Social and political situation of NCDs Compared with HIV/AIDS’s success experience as 2001 UN agenda • The moral urgency • The threats to global security • The mobilization of social leaders • The timeliness of movements

4. Political Power and NCD • Nature of politics - Representative Democracy vs Participatory Democracy and the linkages between politics and industry • The involvement of various powerful actors – private firms, politicians (local and national) and grassroots • Expression in the public policy, legal framework and enforcement, and public resources allocations

5. Big Four Bussiness and effective measures • Big foods, Big Soda, Big Alcohol, Big Tobacco • Effective measures – FCTC, UNGA/WHA resolutions, WTOs, Research community,

6. Challenges on political power • Low resources to NCDs - 3% of global health aid is devoted to NCDs, including BMGF, WHO • Linkages to private sector – Former politicians including WHO leaders as advisers to big fours, Public institutes including WHO linkage with the food industries • Allow industries linked experts/decision makers in the policy mechanisms and processes – in the national n global expert group • Weak legal frameworks and enforcement

7. Funding challenges • More money for health • Innovative Financing – Sin tax • Create Fiscal space – within health and within total government spending. • Mobilize other sources – local governments, private sectors, religious institutes 2. More Health for Money • Focus on most cost-effective preventions • Focus on SDH and non medical measures – economic, legal and technical measures

8. NCDs movements at regional level • SEA/RC60/R4 (2007) : SEANET-NCD (regional network) • SEA/RC65/R5 (2012): Engagement of SEA MSs and the development of the Regional Action Plan and Targets • SEA/RC66/R6 (2013): • Adoption of 10 Regional voluntary targets (plus indoor air pollution) • Develop/strengthen National NCD Action Plan by 2013 • Cost the developed Action Plan by 2014 • Set National targets by 2015 – Thai NHA 2013 • Collect baseline data by 2015 • Surveillance and monitoring system (no time specified) • Regional Director to establish regional coordinating mechanism • Member States to engage in global consultations as mandated by the UN Political Declaration. • ASEAN Health Minister Meeting (2012): ASEAN NCD Taskforce

9. Social Power • Social awareness – Public communications and campaigns • Social measures – consumers’ decisions, • Social movements – social networks, social saction – capacity building INNE model The capacity and channels to get actively involve in the ‘Participatory Public Policy Mechanisms and Processes’

10. Power of wisdom • Know what are the problems - Epidemiology of NCDs and their socio-economic impact • Know the causes – risk factors and their contributions - the linkage of 4x4x4 - Social determinants and NCDs • Know how to set goals, indicators and targets • Know the Effective measures – 5Es Because we are poor, we can not afford ‘not to do the researches’ Yawaharal Nehru

11. Dr. Suwit Wibulpolprasert, Ministry of Public Health, Thailand Universities ThaiHealth HSRI/IHPP TRF/TDRI WB Wisdom WHO Comm. Parties Consumers Social Media Cabinet Politic Professionals Bureaucrats NCD networks “TRIANGLE THAT MOVES THE MOUNTAIN” Source: Wasi P.